Professional Documents
Culture Documents
When the body encounters a stressor, it prepares itself for “fight or flight.” Identify the
adaptation responses that occur in the initial stress response in each of the physical
components listed.
1. c
2. e
3. a
4. d
5. b
A. Precipitating Factors:
1. Genetic influences:
a. Father and brother both alcoholics
b. Mother, heavy smoker, died of lung cancer
2. Past experiences:
a. First drink at age 12
b. Increased amount and frequency since that time
c. Hospitalized three months ago. Diagnosis: ulcer
d. Erratic work history related to drinking
e. Fired from his most recent job yesterday
3. Existing conditions:
a. Smokes three packages of cigarettes per day
b. Severe financial difficulties
c. Supportive wife
d. No insight into his drinking behavior (Blames his boss each time he is
fired.)
Please see Figure 2-3 in the text for an explanation of this activity.
4
1. id
2. superego
3. ego
4. id
5. id
6. ego
7. superego
8. id
9. ego
10. superego
1. e
2. b
3. l
4. h
5. o
6. d
7. g
8. n
9. i
10. f
11. j
12. a
13. p
14. k
6
15. c
16. m
1. b
2. f
3. e
4. c
5. a
6. d
Exercise 2. Crossword
7
1. j 10. i
2. g 11. k
3. b 12. c
4. r 13. o
5. m 14. n
6. a 15. h
7. l 16. f
8. e 17. q
8
9. p 18. d
19. s
1. d
2. i
3. g
4. a
5. j
6. h
7. e
8. c
9. b
10. f
1. b
2. d
3. a
4. c
5. e
1. b
2. a
3. c
4. b
5. d
6. a
7. c
8. d
9. d
10. c
1. Assessment data
a. Picks up a chair as if to use it for protection. Threatened to harm anyone
who came close to him in the department store.
b. Talks and laughs to himself and tilts his head to the side.
c. Keeps to himself and walks away when anyone approaches him.
d. Appearance is unkempt. Clothes are dirty and wrinkled, hair is oily and
uncombed, and there is obvious body odor about him.
2. Nursing diagnoses
a. Risk for other-directed violence
b. Disturbed sensory-perception (hallucinations)
c. Social isolation
d. Self-care deficit
3. Outcome criteria
a. Sam has not harmed self or others.
b. Sam is able to define and test reality.
10
1. d
2. f
3. a
4. c
5. e
6. b
1. recreational therapist
2. art therapist
3. clinical psychologist
4. chaplain
5. dietitian
6. music therapist
7. psychiatric clinical nurse specialist
8. psychiatrist
9. psychiatric staff nurse
10. psychiatric social worker
11. occupational therapist
12. psychodramatist
13. mental health technician
1. e
2. a
3. g
4. f
5. b
6. d
7. c
1. f
2. b
3. a
4. e
5. d
6. c
To progress through the grief process triggered by loss of previous lifestyle and come to terms with
acceptance of the change
12
3. Explore with Jane those aspects that cannot be changed. For example:
a. Ted’s job requires that he live in the new town.
b. Jane’s family will continue to live in the town that they moved to.
4. Alternatives include:
a. Staying with Ted and accepting the move (an alternative that is developmentally
appropriate for Jane, and that the nurse should encourage).
b. Leave Ted and move back to hometown where relatives live (a decision based on
developmental regression).
5. Jane will need to weigh the personal benefits and consequences of staying with Ted in the new town and
working to accept the move or leaving him and moving back to live near her relatives.
6. Once Jane has made a decision, she may need assistance from the nurse to help her accept it and adapt to
the change. Either decision will undoubtedly trigger a grief response, and assistance in progression to acceptance may
be required. Jane must make the decision independently, based on knowledge and understanding of what each would
mean for her. A decision to remain with Ted will require work on Jane’s part to separate adaptively from her parents
and form an independent identity (tasks that have gone unfulfilled by Jane). New coping strategies will have to be
developed.
1. d
2. f
3. j
4. h
5. a
6. c
7. e
8. i
9. g
10. b
1. F
2. T
3. T
4. F
5. F
6. F
7. T
8. T
9. F
10. F
1. c
2. i
3. f
4. b
5. j
6. e
7. g
8. k
9. a
10. h
11. l
12. d
1. c
2. j
3. f
4. b
5. h
6. a
7. d
8. i
9. g
10. e
1. x
2. x
3. x
4. x
5. x
6. x
7. x
8. x
9. x
10. x
11. x
12. x
13. x
14. x x
15. x
15
Cannabinols Relaxation, talkativeness, Impaired judgment, loss of If high doses are used for a
Examples: lowered inhibitions, recent memory, tremors, prolonged period, symptoms
Marijuana euphoria, mood swings muscle rigidity, of nervousness, tremor,
Hashish conjunctival redness, insomnia and restlessness
panic, paranoia may occur upon cessation of
use.
16
1. g
2. d
3. o
4. n
5. m
6. a
7. h
8. k
9. b
10. i
11. c
12. j
13. e
14. l
15. f
1. c
2. a
3. b
4. b
5. a
6. a
7. b
17
1. e 5. d
2. a 6. e
3. d 7. c
4. d 8. b
1. c
2. g
3. b
4. d
18
5. f
6. a
7. c
8. e
9. h
10. f
11. b
12. c
13. g
14. e
15. g
1. 30 years old
Never married
Successful
Active social life; many friends
No significant other at this time
Recent mastectomy for malignancy
Physical condition good
Sad, tired
Trouble sleeping and concentrating
Unable to work
Personal statement of dissatisfaction with appearance
Personal statement of “My personal life is over.”
2. a. Complicated grieving related to loss of right breast evidenced by sadness, fatigue, difficulty sleeping and
concentrating, inability to work.
b. Risk-prone health behavior related to loss of right breast evidenced by inability to adjust to change in body
structure; unable to work; deteriorating mental condition.
3. Refer to textbook, Chapter 19, for nursing interventions for client with adjustment disorder.
4. The client:
a. Is able to verbalize acceptable behaviors associated with each stage of the grief process.
b. Demonstrates a reinvestment in the environment.
c. Is able to accomplish activities of daily living independently.
d. Demonstrates ability for adequate occupational and social functioning.
e. Verbalizes awareness of change in body image and effect it will have on her lifestyle.
f. Is able to problem solve and set realistic goals for the future.
g. Demonstrates ability to cope effectively with change in body image.
1. e, ineffective denial
2. b, ineffective coping
3. d, disturbed sensory perception
4. a, ineffective coping
19
5. c, fear
1. c
2. d
3. a
4. f
5. b
6. e
1. X X
2. X
3. X
4. X
5. X
6. X X
7. X
8. X
9. X
10. X
11. X
12. X
13. X X
14. X X X
15. X
1. d
2. j
3. f
4. a
5. e
6. i
7. c
8. h
9. g
20
10. b
1. h
2. e
3. j
4. b
5. d
6. g
7. f
8. i
9. c
10. a
1. 77 years old
A widow for 20 years
Lives alone on small farm.
Has always been very independent.
Has become forgetful in last few years.
Forgetfulness has become dangerous to self.
Starting to wander.
Has caring support system in son and daughter.
3. See Table 35-2, “Care Plan for the Elderly Client” in the textbook.
4. The client:
a. Has not experienced injury.
b. Maintains reality orientation consistent with cognitive level of functioning.
c. Can distinguish between reality and nonreality-based thinking.
1. d
2. i
3. h
21
4. c
5. g
6. j
7. k
8. a
9. l
10. f
11. e
12. b
1. a
2. b
3. b
4. a
5. a
6. b
7. a
8. b
9. b
10. a
d. Help her to move on by looking at all the roles her husband played in their lives and how
she will undertake management of those roles in his absence. She needs to see that she
can manage her life without him, however difficult it will be.
e. Provide ongoing support. It may be helpful to refer her to a widows’ support group.
Case Study
Grain Group
1. Peppermint 6. Valerian
2. Feverfew 7. Echinacea
3. St. John’s Wort 8. Ginkgo biloba
4. Black cohosh 9. Cascara sagrada
5. Kava-Kava 10. Ginger
1. F
2. T
25
3. F
4. F
5. T
6. F
7. T
8. T
9. F
10. T